Individual
CRYSTAL CORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 E 8TH ST, BLOOMSBURG, PA 17815-2901
(570) 394-3873
Mailing address
905 E 8TH ST, BLOOMSBURG, PA 17815-2901
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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